家庭医生对 2 型糖尿病和/或冠状动脉疾病同伴支持计划的态度：德国从业者的一项探索性调查。

Family doctors' attitudes toward peer support programs for type 2 diabetes and/or coronary artery disease: an exploratory survey among German practitioners.

机构信息

Institute of General Practice and Family Medicine, University Hospital Bonn, Bonn University, Bonn, Germany.

Institute for Health Economics and Clinical Epidemiology, University Hospital of Cologne, Cologne, Germany.

出版信息

BMC Prim Care. 2022 Aug 31;23(1):220. doi: 10.1186/s12875-022-01827-3.

DOI:10.1186/s12875-022-01827-3

PMID:36045339

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9427433/

Abstract

BACKGROUND

Type 2 diabetes (T2D) and coronary artery disease (CAD) are chronic illnesses where adherence to a healthy lifestyle is crucial. If organisational and cultural factors are well managed, Peer support programs (PSP) can improve self-management, quality of life, and health outcomes. In preparation for launching a PSP, we surveyed family doctors (FD) about their attitudes toward such a program and about potential barriers, and facilitators.

METHODS

In March 2020 we surveyed 896 FDs from five university teaching practice networks in North-Rhine Westphalia, Germany, via an anonymous web-based survey. The questionnaire addressed details of PSPs, including suitable patients and FDs'role. Data were analysed using descriptive and inferential statistics; qualitative material underwent content analysis by two researchers.

RESULTS

A total of 165 FDs responded (response rate: 18.4%), 97% were practice owners. Respondents viewed PSPs positively (T2D: 92.0%, CAD 89.9%), especially for patients with poor self-structuring (82.7%), low motivation (76.3%) and few social contacts (67.6%). On average, FDs were able to identify 4.0 ± 3.2 patients as potential group leaders. Major facilitators reported included motivation by peers (92.5%), exercise (79.1%), and social contacts (70.1%). Waning interest over time (73.1%) and poor motivation (70.9%) were considered barriers. The majority of FDs would recommend PSPs to their patients (89.5%). They considered such a program a valuable addition to current care (79.7%). The percentage of FDs' who expected long-term benefits for their workload was relatively low (37.6%).

CONCLUSIONS

In an exploratory survey among German FDs on PSPs, respondents viewed PSPs as a valuable add-on for T2D and CAD patients, while not expecting a positive impact on their workload. Communication with FDs on PSPs may need to highlight anticipated implementation outcomes such as benefits of PSPs to the practice.

摘要

背景

2 型糖尿病（T2D）和冠状动脉疾病（CAD）是慢性病，坚持健康的生活方式至关重要。如果能够很好地管理组织和文化因素，同伴支持计划（PSP）可以改善自我管理、生活质量和健康结果。在推出 PSP 之前，我们调查了家庭医生（FD）对这种计划的态度以及潜在的障碍和促进因素。

方法

2020 年 3 月，我们通过匿名网络调查，对德国北莱茵-威斯特法伦州五所大学教学实践网络中的 896 名 FD 进行了调查。问卷涉及 PSP 的详细信息，包括适合的患者和 FD 的角色。使用描述性和推断性统计数据对数据进行分析；两名研究人员对定性材料进行了内容分析。

结果

共有 165 名 FD 做出回应（回应率：18.4%），97%为诊所所有者。受访者对 PSP 持积极态度（T2D：92.0%，CAD 89.9%），特别是对自我组织能力差（82.7%）、动机低（76.3%）和社交联系少（67.6%）的患者。平均而言，FD 能够识别出 4.0±3.2 名潜在的小组组长。报告的主要促进因素包括同伴的动机（92.5%）、运动（79.1%）和社交联系（70.1%）。受访者认为随着时间的推移兴趣减弱（73.1%）和动机不足（70.9%）是障碍。大多数 FD 会向患者推荐 PSP（89.5%）。他们认为该计划是对现有护理的有价值的补充（79.7%）。FD 期望长期减轻工作负荷的比例相对较低（37.6%）。